Anesthesia Made Easy: The Survival Guide to Make Your First Anesthesia Rotation a Success 9780989840132, 9780989840149

Table of contents :
Table of Contents

1. Getting the Most from Your Anesthesiology Observation

2. What You Should Learn on Your First Anesthesiology Rotation

The following are some of the basic concepts you should strive to understand and explain:

Basic skills you should work toward:

3. How to Study Anesthesiology

The Thoughts

The Movements

4. Anesthesiology Basic Concepts

The following are the different types of anesthesia:

Sedation

General Anesthesia (GA)

Regional Anesthesia (RA)

Combining the Different Types of Anesthesia Techniques

The Four Stages of Anesthesia

Comparing Potency of Anesthesia Medications – MAC

Anesthesiology and Flying a Plane

5. Getting Around in the OR

6. Basic Anesthesia Pharmacology: Vapors and Gases

How the Gases/Vapors Work

Medical Gases

Anesthesia Vapors

7. Basic Anesthesia Pharmacology: Medications

Anesthesia Pharmacology Introduction

Five things to check before giving the medications:

IV Fluids and Blood

Crystalloid Fluids

Colloid Fluids

Blood Products

Fluid Replacement

8. Benzodiazepines and Reversal

Benzodiazepine

Midazolam (Versed)

Benzodiazepine Reversal

Flumazenil

9. Induction Medications

Propofol (Diprovan)

Etomidate

Ketamine

10. Pain Medications and Reversals

Opioids

Fentanyl

Morphine

Hydromorphone (Dilaudid)

Meperidine

Opioid Reversal

Naloxone

Non-Opioid Pain Medication

Acetaminophen

Ibuprofen

Ketorolac

11. Neuromuscular Blocking Medications and Reversals

Depolarizing Medications

Succinylcholine (Sux)

Non-Depolarizing Medications:

Vecuronium (Vec)

Rocuronium (Roc)

Cisatracurium (Cis)

Neuromuscular Reversal Agents

Neostigmine

Glycopyrrolate

12. Autonomic Nervous System Medications

Basic Cardiovascular Physiology

Diluting Medications

Single Dilution

Double Dilution

Method One (Two-Syringe Method)

Method Two (100 ml bag of NS)

Autonomic Nervous System Receptors

13. Vasoactive Medications (“Pressors”)

Catecholamine

Epinephrine (Epi)

Sympathomimetics

Ephedrine

Phenylephrine (Neo)

14. Antihypertensives

Esmolol

Labetalol

Metoprolol

15. Common Antibiotics

16. Common Local Anesthetics

17. Postoperative Nausea and Vomiting (PONV)

Patient Factors

Anesthesia/Surgery Factors

Strategies you can use to reduce the risk of PONV:

PONV Medications Commonly Used

18. Preoperative Anesthesia H&P

Getting Ready for Surgery

The Anesthesia History

Anesthesia Physical Exam

Preoperative Labs / Studies

Pregnancy Test

ASA Physical Status

NPO Guidelines

19. Airway Exam and Assessment

20. Presenting Your Patient to Your Staff or Preceptor

21. Anesthesia Machine and Monitors

22. Setting Up Your Room

PMS-MAIDS

23. Common Adult Setup at Teaching Hospitals

24. Adult Airway Management

Basic Airway Anatomy:

Equipment for Airway Management:

The Brief Airway History

The 4 Basic Airway Skills

Adult Patient Flow

Mask Ventilation

LMA Placement

Intubation

Oral Intubation:

Nasal Intubation

25. Pediatric Airway Management

Airway anatomy differences between adults and pediatric patients.

Pediatric physiology that affects airway management.

Pediatric Patient Flow

Sizing Your Equipment

The 3 Basic Pediatric Airway Skills

Pediatric Mask Ventilation Pearls:

LMA Placement Pearls:

Pediatric Intubation Pearls:

26. Advanced Airways

27. Rapid Sequence Induction (RSI)

28. Putting It All Together—A Case Example

29. Regional Anesthesia

Peripheral Nerve Block

Epidural

Caudal

Spinal

30. Obstetric Anesthesia

Physiologic Changes of Pregnancy

Neurologic Changes

Respiratory Changes

Cardiovascular Changes

Gastrointestinal (GI) Changes

Epidurals for Labor/Delivery Analgesia

Epidural Complications

Anesthesia for Caesarean Section (C-Section)

Additional Medications to Prepare for C-Section

Epidural Anesthesia

Spinal Anesthesia

Local Anesthesia

General Anesthesia

OB Anesthesia Pearls

31. Malignant Hyperthermia

Background

Symptoms include the following:

Preoperative Assessment

Patients at Risk:

Treatment

32. On Your Own for the First Time

Decreased SpO2

Decreased EtCO2

Increased EtCO2

Increased Peak Inspiratory Pressures (PIP)

Heart Rate and Blood Pressure Issues

The Automatic BP Cuff

The Invasive BP Monitor: The Arterial Line

The Patient Moves During Surgery

33. Your Pregnancy and Your Anesthesia / Airway Rotation

Staying Hydrated

Disease Transmission

Radiation Exposure

Limit Your Exposure to Nitrous Oxide (N2O)

Limit Your Exposure to Methyl Methacrylate

Recognize / Limit Stress

34. Anesthesia Resources

Getting into Anesthesia Residency

Epilogue

About the Author

Common Abbreviations

References